REVIEW PAPER
Relationship between the components of disability definition and the effectiveness of rehabilitation measures as a process
 
More details
Hide details
1
Department of Paediatric Endocrinology and Diabology with Endocrine – Metabolic Laboratory, Medical University, Lublin, Poland
 
2
Chair and Department of Epidemiology and Clinical Research Methodology, Medical University, Lublin, Poland
 
3
Medical Institute, Jan Grodek State University, Sanok, Poland Jan Grodek State University, Sanok, Poland
 
4
Calisia University, Kalisz, Poland
 
 
Corresponding author
Irena Dorota Karwat   

Medical Institute, Jan Grodek State University, Sanok, Poland Jan Grodek State University, Sanok, Poland
 
 
Ann Agric Environ Med. 2023;30(4):595-601
 
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
The number of disabled persons is most often only estimated. The disabled require multidirectional, effective support in almost every field of functioning. There is no arbitrarily accepted definition of disability, and those currently available outline the ranges of support for which rehabilitation measures are necessary.

Objective:
The aim of the review is to present the problem areas that contribute to the definition of disability and their interdependence and effectiveness in relation to rehabilitation interventions, as well as identification of the most frequent medical and social problems interdependent on the quality and feasibility of rehabilitation interventions.

Review methods:
Scientific literature in Polish and English for 1993–2023 and legal acts concerning the definition of disability, definition of rehabilitation and the problem of employment were reviewed. The following key words were used to search the NIZP-PZH, MZ, JAHEE and ISAP databases: disabled persons, definitions of disability, rehabilitation as a process, synchronization of thematic groups of disability definitions with the rehabilitation process.

Brief description of the state of knowledge:
Disability is a public health problem. The actual determination of the extent, medical and social needs of people with disabilities involves methods and measures for classifying people as disabled. The effects of treatment and rehabilitation are assessed by the level of functioning of the disabled in society.

Summary:
The multiplicity of characteristics included in the definitions of disability account for all problems in health and social terms. In view of the social, environmental and cultural changes, the scope of needs of people with disabilities is also changing, which can be seen in newly-developed definitions, including rehabilitation.

 
REFERENCES (54)
1.
Whitty CJM, MacEwen C, Goddaed A, et al. Rising to the challienge of multimorbidity. BMJ 2020;368:I6964. doi: 10.1136/bmj.I6964.
 
2.
Union of Equality: European Commission presents Strategy for the Rights of Persons with Disabilities 2021–2030. European Commission, Brussels, 3.3.2021,COM(2021);101 final.
 
3.
Negrini S, Levack VMM, Meyer T, et al. Why we need an internationally shared rehabilitation definition for clinical research purposes. Clin Rehabil. 2021;35:1657–60. doi:10.1177/02692155211043215.
 
4.
Kołłątaj B, Kołłątaj WP, Panasiuk L, Sobieszczański J, Karwat ID. Importance of most frequent needs of the disabled in shaping areas of support in public health. Part 1. Analysis of selected demographic and social characteristics of the disabled with consideration of the causes of body dysfunction, legal disability status, and selected characteristics of the state of health. Ann Agric Environ Med. 2021;28(4):692–704. https://doi.org/10.26444/aaem/....
 
5.
Global report on health equity for persons with disabilities. Achieving health equity through disability inclusion in the health sector. WHO, 2 December 2022.
 
6.
Chojnacka-Szawłowska G, Szawłowski K. Rehabilitacja. Warszawa: Medyczna Agencja Wydawniczo Informacyjna; 1994.
 
7.
Model rehabilitacji kompleksowej – założenia wstępne. Warszawa: PFRON, ZUS, CIOP-PIB; 2018.
 
8.
Mishra K, Siddharth V, Bhardwaj P, et al. The Prevalence Pattern of Locomotor Disability and its Impact on Mobility, Self-Care, and Interpersonal Skills in Rural Areas of Jodhpur District. Niger Med J. 2019 May-Jun;60(3):156–160. doi:10.4103/nmj.NMJ_144_17.
 
9.
Garbat M. Historia niepełnosprawności. Geneza i rozwój rehabilitacji, pomocy technicznych oraz wsparcia osób z niepełnosprawnościami. Gdynia: Wyd. Novea Res; 2015.
 
10.
Rudnick A. The medical versus social model of disability: a false dichotomy. Phys Med. Rehabil Res. 2017;2(6):1–2. doi:10.15761/PMRR.1000157.
 
11.
Conti AA. Western Medical Rehabilitation through Time: A Historical and Epistemological Review. Hindawi Publishing Corporation Scientific World Journal Volume. 2014, Article ID 432506, 5 pages. http://dx.doi.org/10.1155/2014....
 
12.
Garbat M. Społeczny wymiar niepełnosprawności w teorii ekonomii. Studia Oekonomica Posnaniensia. 2017;5,10:63–84. doi:10.18559/SOEP.2017.10.5.
 
13.
Atanelov L, Stiens SA, Mark A, Young MA. History of Physical Medicine and Rehabilitation and its Ethical Dimensions. AMA Journal of Ethics, June 2015. June 2015;17(6):568–574.
 
14.
Wade DT. Defining rehabilitation: tu exploration of why it is attempted, and why it will always fail. Clin Rehabil. 2021 Dec;35(12):1650–1656. doi:10.1177/0269215521102801.
 
15.
Towards a Common Language for Fundctioning, Disability and Health – ICF. World Health Organisation, Geneva 2020.
 
16.
Szyszkowska M. Wyznaczniki człowieczeństwa i płynące stąd powinności wobec Innego. In: Anna Drabarz, editor. Aksjologiczne i prawne aspekty niepełnosprawności. Białystok: Wydawnictwo Temida; 2020. p. 9–14.
 
17.
Kołłątaj B, Kołłątaj WP, Cipora E, et al. Research priorities in the domain of disability – correlation between health and social characteristics. A Polish example. Ann Agric Environ Med. 2022;29(4):463–470. https://doi.org/10.26444/aaem/....
 
18.
Standardowe Zasady Wyrównywania Szans Osób Niepełnosprawnych (Standard Rules for the Equalization of Opportunities for Persons with Disabilities) przyjęte podczas 48 sesji Zgromadzenia Ogólnego Narodów Zjednoczonych w dniu 20 grudnia 1993 (Rezolucja 48/96).
 
19.
Byra S. Pierwotna i wtórna ocena niepełnosprawności – predykcyjna rola zmiennych socjodemograficznych i związanych z niepełnosprawnością. Szkoła Specjalna; 2019:1:5–18.
 
20.
Kabsch A. Lokomocja człowieka. In: Kwolek A, editor. Rehabilitacja Medyczna, ed. vol. I. Wrocław: Wydawnictwo Urban&Partner; 2001. p. 159–169.
 
21.
Coulter A, Oldham J, Network C. Person-centred care: what is it and how do we get there? Future Hosp J. 2016 Jun; 3(2):114–116. doi: 10.7861/futurehosp.3-2-114.
 
22.
Nugraha B, Gutenbrunner Ch. Contribution of the Scientific field of Physical and Rehabilitation Medicine to improvements in health-related Rehabilitation at all levels of the healthcare system: a discussion paper. J Rehabil Med; 2021,53:jrm00155.
 
23.
Kołłątaj B, Kołłątaj WP, Nasiłowska-Barud A. et al. Importance of most frequent needs of the disabled in shaping areas of support in public health. Part. II. Disability as a consequence of dysfunction in the state of health disrupting daily functioning based on selected health and socio-demographic characteristics – interdisciplinary problems in the domain of public health. Ann Agric Environ Med. 2022;29(4):489–501. https://doi.org/10.26444/aaem/....
 
24.
Rashid M, Harish SP, Kalidas A, et al. Comprehensive rehabilitation outcome measurement scale (CROMS): development and preliminary validation of an interdisciplinary measure for rehabilitation outcomes. https://doi.org/10.1186/s12955....
 
25.
Nasa P, Jain R, Juneja D. Delphi methodology in healthcare research: How to decide its appropriateness. World J Methodol. 2021 July 20; 11(4):116–129. https:doi.10.5662/wjm.v11.i4.116.
 
26.
Cochrane Rehabilitation. Special projects, https://rehabilitation.cochran... (accessed 18 June 2021).
 
27.
Vornholt K, Villotti P, Muschalla B, et al. Disability and employment – overview and highlights. Eur J Work Organ Psychol. 2018 [Online]. Available: https://doi.org/10.1080/135943....
 
28.
Krasuski M. Rehabilitacja, pojęcie i definicja. Niepełnosprawność i obecne czasy. Strona domowa dr n. med. Marka Krasuskiego.
 
29.
Lubecki M. Polski model rehabilitacji medycznej zaakceptowany i zalecany przez WHO. Hygeia Public Health. 2011;46(4):506–515.
 
30.
Czechowski K, Wilmowska-Pietruszyńska A. O potrzebie rehabilitacji kompleksowej. ©Niepełnosprawność – zagadnienia, problemy, rozwiązania. 2016;II(19):35–51.
 
31.
Karwat ID, Skwarcz A. Rehabilitacja medyczna – jej cele, założenia i znaczenie praktyczne. ©Borgis – Post Nauk Med. 2000;3:61–69.
 
32.
Kevorkian CG, Bartels M, Franklin DJ. To Believe in Humanity and in Rehabilitation: Howard A. Rusk, MD, and the Birth of Rehabilitation Medicine. Am Academy Physical Med Rehabil. 2013; 5:247–254. http://dx.doi.org/10.1016/j.pm....
 
33.
Kruczyński J. Wiktora Degi Ortopedia i Rehabilitacja. Warszawa: Wydawnictwo PZWL; 2023.
 
34.
Kosycarz E. Rehabilitation in the Polish health system and its finansing methods. FINANSA Czasopismo Komitetu Nauk o Finansach PAN; 2018;1(11):161–175.
 
35.
Cancelliere C, Donovan J, Stochkendahl MJ, Biscardi M, Ammendolia C, Myburgh C, et al. Factors affecting return to work after injury or illness: best evidence synthesis of systematic reviews. Chiropr Man Ther. 2016;24(1):32.
 
36.
Radford K, Sutton C, Sach T, Holmes J, Watkins C, Forshaw D, et al. FRESH – facilitating return to work through early specialist health-based interventions: feasibility randomised controlled trial: HTA Monograph. 2017. In press.
 
37.
Wilmowska-Pietruszyńska A. Establishing score equivalence of the GDS-30 scale and International Classification of Functioning, Disability and Health range, using Rasch analysis. Ann Agric Environ Med. 2023;30(1):105–110. https//:doi:10.26444/aaem/156021.
 
38.
Niepełnosprawność według kryteriów statystycznych (rok, płeć, przedział wieku, liczba osób, liczba osób niepełnosprawnych, odsetek osób niepełnosprawnych). ProfiBaza, 2022.
 
39.
Jahan S, Holloway C. Barriers to Access and Retain Formal Employment for Persons with Disabilities in Bangladesh and Kenya, GDI Hub Working Paper Series Issue 01,2020.
 
40.
Barker K, Holland AE, Lee AL, et al. Multimorbidity rehabilitation versus disease-specific rehabilitation in people with chronic diseases: a pilot randomized controlled trial. Pilot and Feasibility Studies. 2018;4:181. https//:doi.org/10.1186/s40814-018-0369-2.
 
41.
Harrison Ch, Fortin M, van den Akker M, et al. Comorbidity versus Multimorbidity: Why is matters. J Multimorbidity Comorbidity. 2021;11:1–3. doi:10.1177/263355652.
 
42.
Sierpińska LE. Assessment of the degree of illness acceptance in patients diagnosed with hepatitis C. Ann Agric Environ Med. 2022;29(2):224–231. https://doi.org/10.26444/aaem/....
 
43.
Sierpińska L. Expectations of patients with hepatitis C from family physicians – a Polish example. Ann Agric Environ Med. 2022;29(4):529–537. https://doi.org/10.26444/aaem/....
 
44.
Kemp AH, Tree J, Gracey F, Fischer Z. Im proving Wellbeing in Patients with Chronic Conditions: Theory, Evidence and Opportunities. Front Psychol. 2022;13:868810. 3389/fpsyg.2022.868810.
 
45.
Analiza rozwiązań w zakresie włączenia społecznego osób z niepełnosprawnościami – raport syntetyczny. Aktywni niepełnosprawni – narzędzia wsparcia samodzielności osób niepełnosprawnych. Raport zbiorczy. Numer projektu: POWR.02.06.00-00-0064/19. 2021. PFRON, Ministerstwo Rodziny i Polityki Społecznej, Fundacja im. Królowej Polski Św. Jadwigi w Rzeszowie.
 
46.
Suls J, Green PA, Boyd CM. Multimorbidity: Implications and Directions for Health Psychology and Behavioral Medicine. Health Psychol. 2019;38(9):772–782. doi:10.1037/hea000762.
 
47.
Souza DLB, Oliveras-Fabregas A, Minobes-Molina E, et al. Trends of multimorbidity in 15 European countries: a population-based study in community-dwelling adults aged 50 and over. BMC Public Health: 2021;21:76. https://doi.org/10.1186/s12889....
 
48.
Namkung EH, Carr D. The Psychological Consequences of Disability over the Life Course: Assessing the Mediating Role of Perceved Interpersonal Discrimination. J Health Soc Behav. 2020;61(2):190–207. doi:10.1177/0022146520921371.
 
49.
Johnston MC, Crilly M, Black C, et al. Defining and measuring multimorbidity: a systematic reviews. Eur J Public Health. 2018;29:1182–189. doi:10.1093/eurpub/cky098.
 
50.
Navickas R, Petric VK, Feigl AB, Seychell M. Multimorbidity: What do we know? What should we do? J Comorb. 2016;6(1):4–11. doi:10.15256/joc.2016.6.72.
 
51.
Multimorbidity: a priority for global health research. Acad Med Sci. 2018.
 
52.
Hanass-Hancock J, Murthy GVS, Palmer M, et al. The Disability Data Report. Disability Data Initiative. Fordham Research Consortium on Disability: New York, 2023. doi:https://doi.org/10.26444/aaem/....
 
53.
Le Reste JY, Nabbe P, Manceau B, et al. The European General Practice Research Network Presents a Comprehensive Definition of Multimorbidity in Family Medicine and Long Term Care, Following a Systematic Review of Relevant Literature. American Medical Directors Association, Inc. JAMDA; 2013:1–7.
 
54.
Kiwerski J. Rehabilitacja osób z ciężką niesprawnością ruchową po urazach rdzenia kręgowego. In: Stan rehabilitacji i potrzeby rehabilitacyjne osób o poszczególnych rodzajach niepełnosprawności. Warszawa: PFRON; 1994. p. 38–53.
 
eISSN:1898-2263
ISSN:1232-1966
Journals System - logo
Scroll to top